Provider Demographics
NPI:1982973210
Name:J.M. ARRUNATEGUI, M.D., P.C.
Entity Type:Organization
Organization Name:J.M. ARRUNATEGUI, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRUNATEGUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-353-7500
Mailing Address - Street 1:717 WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1327
Mailing Address - Country:US
Mailing Address - Phone:908-353-7500
Mailing Address - Fax:908-353-8590
Practice Address - Street 1:717 WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1327
Practice Address - Country:US
Practice Address - Phone:908-353-7500
Practice Address - Fax:908-353-8590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05771800305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJAR191183Medicare UPIN